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Homestead_Bishop
' INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I Dr YPREPARERr - _. _7- - - — 1 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title. Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(a)mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail 1EwSEL'LER(S)/GRANTOR[S)` — _ - ,— - — — — Donna D Bishop Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1/? /I/./nR//V Si: Po/3a-iz8 Ad ess(Number and Street) Address(Number and Street) h9-r&XA //2/ 9 716,E E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct andsompletete a�uire�,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". erSignatureoff�er Signature of Seller Donna D Rishon �� — 9-azo/e Printed Name ofSeller S(an Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DO/YYYY) Yi.BUYER(SAGRtiNTEE(SS)EARPIIGATIONIF,ORiP,RORERTtY(TaljEDUGTIONS IDEN;TIEA'AEI:ITEMSiTHATtAPP,I:Y' - Don E. Bishop Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance ei 742 East State Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 OCT / 6 ?Uia E-mail Telephone Number G.lp p�rOL, pfq.� E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THdtiOX7T�/gUOIT YES NO CONDITION I YES- NO CONDITION P Op ❑ ❑ 1.Will this property be the buyer's primary al ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 S.Wind Power Device 742 Fast State Street Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 8. Is this property a residential rental property? ❑ 0 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ Z 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information • including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) Z. la a -0-7 -Z oti - 00 z. vy/ 02.E City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number